Director Centralized Utilization Review

Director Centralized Utilization Review

Current Employees Apply BACK Location: Hybrid, 8100 Greenbriar St, Houston, TX 77054 Job Ref: JR-1014 Time Type: Full Time Job Shift: Day Job Type: Full Time At Houston Methodist, the Director Centralized Utilization Review (UR) position is responsible for strategic, administrative, and operational leadership for the Utilization Management (UM) department across the Houston Methodist system. This position oversees all aspects of utilization review to ensure medical necessity, level of care appropriateness, and compliance with CMS Conditions of Participation, payer requirements, and organizational policies. The Director Centralized UR position partners closely with physician advisors, case management directors, and revenue cycle leaders to prevent denials, streamline authorization processes, impact unnecessary length of stay for inpatient and observation services, and monitor appropriateness of resource utilization. Th...